Provider Demographics
NPI:1013634385
Name:NALBANDIAN, DANNY RICHARD (PHARMD)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:RICHARD
Last Name:NALBANDIAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 HINCHMAN AVE
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-6700
Mailing Address - Country:US
Mailing Address - Phone:772-473-8068
Mailing Address - Fax:
Practice Address - Street 1:5590 N WICKHAM RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7303
Practice Address - Country:US
Practice Address - Phone:321-751-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNP4611835N0905X
FLPS55300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835N0905XPharmacy Service ProvidersPharmacistNuclear